Sulliam Rivera
Wesley Chapel,USA
Summary
Dynamic healthcare professional with extensive experience at Blackstone Consulting Inc, excelling in care coordination and patient engagement. Proven ability to enhance patient experiences through effective communication. Proficient in EMR systems and fluent in Spanish, delivering empathetic support while managing complex healthcare needs and ensuring seamless transitions in care.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Remote Guardianship Concierge
Blackstone Consulting Inc
Englewood, Colorado
05.2025 - Current
- Served as the primary point of contact for members enrolled in Apta Health’s Guardianship / Cash-Centric Care program, delivering high-touch, concierge-level support throughout the healthcare journey.
- Coordinated care across virtual primary care, specialists, imaging centers, and hospitals by scheduling appointments, verifying availability, and ensuring members accessed vetted, cost-transparent providers.
- Managed the activation and loading of members’ Cash Pay Cards, ensuring funds were available prior to care and processed correctly after services were completed.
- Guided members on how to submit receipts, itemized bills, or care documentation; reviewed submissions for accuracy before forwarding for reimbursement or payment processing.
- Collaborated closely with Physician Guardians, virtual-care partners, and provider networks to streamline care coordination and support urgent or complex health needs.
- Delivered proactive communication and education to members regarding benefits, coverage structure, next-step instructions, and healthcare navigation.
- Resolved billing issues, clarified claims-related concerns, and prevented balance-billing scenarios by working directly with providers.
- Maintained detailed case records, call logs, and documentation in internal systems while protecting sensitive health information under HIPAA guidelines.
- Provided empathetic, solutions-oriented customer service, ensuring members experienced a consistent, supportive, concierge-style interaction.
Patient Engagement Specialist II
Imagine Pediatrics
Wesley Chapel, FL
09.2024 - 05.2025
- Conducted in-depth research on attributed patients to assess healthcare needs, identify utilization trends, and uncover potential enrollment barriers.
- Executed proactive telephonic outreach to caregivers to facilitate child enrollment and ensure a smooth, supportive onboarding experience.
- Communicated with a wide network of healthcare professionals-including DME providers, home health agencies, pharmacies, and pediatricians-to support care coordination and patient engagement.
- Built and maintained relationships with healthcare stakeholders to drive re-engagement and ongoing care participation among enrolled patients.
- Managed inbound calls from caregivers, health plan service coordinators, and hospital discharge planners to support enrollment and care transitions.
- Gained and applied comprehensive knowledge of the Supplemental Security Income (SSI) program, conducting outreach to potentially eligible families to provide guidance and support.
- Partnered with Provider Engagement Specialists to conduct embedded, in-person outreach at primary care offices, residential facilities, and other care settings to support enrollment initiatives.
Remote Patient Monitor
Insight Global
Wesley Chapel, FL
12.2023 - 04.2024
- Continuously monitor patient data collected from remote devices (e.g., blood pressure cuffs, weight scales, blood glucose meters).
- Analyze data for trends, patterns, and potential issues, and alert healthcare providers to any concerning findings.
- Educate patients on the proper use of remote monitoring devices and provide ongoing support and troubleshooting.
- Communicate with patients, healthcare providers, and other members of the care team to ensure effective care coordination.
- Maintain accurate and detailed records of patient data, interactions, and interventions.
- Assess patient needs and triage alerts, escalating issues to appropriate healthcare professionals as needed.
- Assist with device setup, maintenance, and troubleshooting.
- Assist in developing and implementing care plans based on patient data and needs.
- Encourage patient engagement and adherence to treatment plans.
Remote Front Office/Medical Assistant
AdventHealth Medical Group
Palm Harbor, FL
11.2022 - 12.2023
- Aid physicians with the process of obtaining cardiac clearances.
- Coordinated referrals initiated by office physicians.
- Relayed messages from patients to physicians about concerns, condition updates, or refill requests to facilitate treatment.
- Scheduled appointments for patients via phone.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
- Educated patients about medications, procedures, and physicians' instructions.
- Contributed to office operations by triaging patients by the severity of their medical complaints.
- Collaborated with local pharmacies to resolve and clarify issues with patient medication.
- Incorporated outside records into charts and EHR.
- Entered insurance, demographics and health history into patient database.
- Called patients to confirm scheduled appointments and obtain additional details.
- Answered multi-line phone system and directed callers to requested personnel and departments.
- Managed office phone lines by checking voicemail, returning calls and directing messages to team members.
- Transmitted medical records and other correspondence by mail, e-mail, or fax.
- Routed laboratory or diagnostic results to appropriate staff.
- Start and complete the prior authorization process. Coordinated communication among providers, payers, and health plans.
Assistant Manager /Certified Clinical Medical Assistant
OHHI Cardiology Group at Orlando Health
Orlando, FL
12.2012 - 10.2022
- Supervise 3rd floor and medical assistant on assigned days prepping patients for physician by obtaining vital signs.
- Obtains and records patient history.
- Assistant manager of 3rd floor and medical assistants.
- Patient ambassador.
- Taking electrocardiograms.
- Assistant of managers and doctors.
- Prepares and maintains examination and treatment areas.
- Assist as an interpreter for Spanish patients.
- Request and complete prior authorizations for medications and file appeals.
- Preceptor for students and new hires MA's.
Certified Clinical Medical Assistant
Breast Care Center At UF Cancer Center
Orlando, FL
08.2012 - 12.2012
- Prepare examining areas and patients for examination or procedure.
- Obtains vital signs and records patient's medical history and other relevant data.
- Answers telephone calls and other general office functions.
- Prepare and maintain supplies and equipment for treatments, including sterilization.
Patient Care Technician
Calla SlimSpa
Orlando, FL
03.2011 - 06.2011
- Record patients' medical history, vital statistics, or information such as test results in medical records.
- Interview patients to obtain medical information and measure their vital signs, weight, and height.
- Prepare treatment rooms for patient examinations, keeping the rooms neat and clean.
- Explain treatment procedures, medications, diets, or physicians' instructions to patients.
Customer Service Representative/Assistant Manager
Kelly Services
Orlando, FL
10.2007 - 01.2010
- Answering inbound calls.
- Data entry.
- Answered unemployment related questions.
- Process payments and related paperwork.
- Fact finding.
- Assisted manager with daily assignments and projects.
Medical Assistant/Floater
Central Florida Dermatology Associates
Orlando, FL
12.2006 - 03.2007
- Prepared treatment rooms for patient examinations, keeping the rooms neat and clean.
- Cleaned and sterilize instruments and dispose of contaminated supplies.
- Showed patients to examination rooms and prepare them for the physician.
- Helped physicians examine and treat patients, handing them instruments or materials or performing such tasks as giving injections or removing sutures.
Education
Associate of Science - Medical Assistant
Anthem College
Orlando, FLSkills
- Supervising experience
- Proficient in EMR systems
- Triage
- Medical scheduling
- Care coordination
- Patient outreach
- Remote monitoring
- Patient education
- Telehealth support
- Documentation management
- Referral Coordinator
- Medical terminology
- Hospital experience
- Medical office experience
- Translation
- Prior Authorizations
- Fluent in Spanish
Certification
- CPR Certification
- CCMA Certification
- Spiritual Ambassador
References
References available upon request.
Timeline
Remote Guardianship Concierge
Blackstone Consulting Inc
05.2025 - Current
Patient Engagement Specialist II
Imagine Pediatrics
09.2024 - 05.2025
Remote Patient Monitor
Insight Global
12.2023 - 04.2024
Remote Front Office/Medical Assistant
AdventHealth Medical Group
11.2022 - 12.2023
Assistant Manager /Certified Clinical Medical Assistant
OHHI Cardiology Group at Orlando Health
12.2012 - 10.2022
Certified Clinical Medical Assistant
Breast Care Center At UF Cancer Center
08.2012 - 12.2012
Patient Care Technician
Calla SlimSpa
03.2011 - 06.2011
Customer Service Representative/Assistant Manager
Kelly Services
10.2007 - 01.2010
Medical Assistant/Floater
Central Florida Dermatology Associates
12.2006 - 03.2007
Associate of Science - Medical Assistant
Anthem College